Exploring the patient-reported impact of the pharmacist on pre-bariatric surgical assessment

Graham, Yitka, Callejas-Diaz, Lindes, Parkin, Lindsay, Mahawar, Kamal, Small, Peter K. and Hayes, Catherine (2018) Exploring the patient-reported impact of the pharmacist on pre-bariatric surgical assessment. Obesity Surgery .

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Official URL: https://doi.org/10.1007/s11695-018-3592-2

Abstract

Background: The effects of surgical procedures and the need for life-long nutrient supplementation may impact on medication regimes, requiring changes to dosage and formulation of medicines, which can be difficult for patients following surgery. Our pre-surgical assessment pathway involves a pharmacist with specialist knowledge of bariatric surgery, to help prepare patients for these changes.

Objective: To explore the patient-reported impact of the specialist bariatric pharmacist in pre-surgical assessment.

Setting: National Health Service Hospital, United Kingdom.

Methods: A two phased, retrospective study design using participants recruited from pre-surgical clinic lists. The first phase consisted of confidential, face to face semi-structured interviews. A constant comparative analytic framework informed the construction of the second phase, which consisted of a confidential survey to test the generalizability of the findings with a larger cohort of patients.

Results: A total of 40 participants (12 interviews, 28 surveys) were recruited to the study. The majority of participants were female (n = 33), mean age 50 years, mean pre-surgical weight 124 kg (n = 38). The most common comorbidity was type 2 diabetes. Participants on medication had at least one comorbidity, with the majority of conditions improved or eliminated after surgery.

Conclusions: The pre-surgical consultation with the pharmacist was highly valued by the participants, providing information and support which helped prepare for medication changes after bariatric surgery. Many felt that a post-surgical appointment with the pharmacist would provide support and improve compliance with vitamins and medications. Future research into the role of pharmacists in the bariatric multi-disciplinary team and patient support are recommended.

Item Type: Article
Journal / Publication Title: Obesity Surgery
Publisher: Springer Verlag for International Federation for the Surgery of Obesity and Metabolic Disorders
ISSN: 1708-0428
Departments: Health and Medical Sciences
Additional Information: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License.
Depositing User: Anna Lupton
Date Deposited: 25 Jan 2019 17:22
Last Modified: 20 Apr 2019 06:16
URI: http://insight.cumbria.ac.uk/id/eprint/4430

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